1. Prognostic significance of miR-215 in colon cancer
- Author
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Jingfang Ju, Kenneth R. Shroyer, Cecilia Zhang, Saira Mehmood, Timothy Pal, Mihriban Karaayvaz, Bo Song, Stephanie Burke, and Penelope Georgakopoulos
- Subjects
Adult ,Male ,Colorectal cancer ,Colon ,Ubiquitin-Protein Ligases ,Biology ,Adenocarcinoma ,Real-Time Polymerase Chain Reaction ,Thymidylate synthase ,Article ,Immunoenzyme Techniques ,microRNA ,medicine ,Humans ,RNA, Messenger ,Denticleless Protein Homolog ,Aged ,Neoplasm Staging ,Aged, 80 and over ,Gastroenterology ,Nuclear Proteins ,Thymidylate Synthase ,Middle Aged ,medicine.disease ,Prognosis ,Molecular biology ,digestive system diseases ,Survival Rate ,MicroRNAs ,Tetrahydrofolate Dehydrogenase ,Real-time polymerase chain reaction ,Oncology ,Tissue Array Analysis ,Colonic Neoplasms ,biology.protein ,Immunohistochemistry ,Biomarker (medicine) ,Female - Abstract
Background We have previously shown that miR-215 suppressed the expression of key targets such as thymidylate synthase (TS), dihydrofolate reductase, and denticleless protein homolog (DTL) in colon cancer. miR-215 is a tumor suppressor candidate due to the upregulation of p53 and p21 by targeting DTL. However, high levels of miR-215 conferred chemoresistance due to cell cycle arrest and reduced cell proliferation by suppressing DTL. In this study, the clinical significance of miR-215 was further investigated as a potential prognostic biomarker in colon cancer patients. Methods Total RNAs were extracted from 34 paired normal and colon (stage II and III) tumor specimens using the Trizol-based approach. The levels of miR-215 and a closely related miR-192 were quantified using quantitative real-time polymerase chain reaction (qRT-PCR) expression analysis. The expression of DTL mRNA and protein were quantified by real time qRT-PCR and immunohistochemistry. Results The expression levels of miR-192 (P = .0008) and miR-215 (P < .0001) were significantly decreased in colon tumors compared with normal tissues. DTL was significantly over-expressed and was inversely correlated with miR-215, further suggesting an in vivo physiologic relevance of miR-215 mediated DTL suppression. Kaplan-Meier survival analysis by Cox regression revealed that high levels of miR-215 expression (hazard ratio, 3.516; 95% confidence interval, 1.007-12.28, P = .025) are closely associated with poor patient's overall survival. Furthermore, an elevated expression of a miR-215 target protein DTL was detected in colon cancer tissues whereas no expression was present in normal tissues. Conclusion miR-215 has a unique potential as a prognostic biomarker in stage II and III colon cancer.
- Published
- 2010